AM/PM Schedule/Fee Change Form

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Notice of Fee Change, Temporary Absence or Withdrawal

Please Note

If for any reason you decide to change or drop your child's enrollment from the Peoria AM/PM Recreation Program, notification must be submitted no later than 12:00pm on Thursday for changes affecting the following week. You may use this form for notification. Please complete the form fields and submit the form when done.

The first (2) schedule changes submitted between September 1st  through December 31st 2019 and  February 1 through May 21, 2020 will be free. Any additional schedule changes will be charged $10.00 for each change submitted.

Please note: if you wish to receive a copy of your submission, please enter your email in the box at the bottom of the page after completing the form.

Please correct the field(s) marked in red below:

PARENT/CHILD INFORMATION
Required Information

 *
PARENT/CHILD INFORMATION Required Information

Please check one of the four options below (changing-absent-inactive-withdrawing):

1. CHANGING FEE CONTRACTS

1. CHANGING FEE CONTRACTS

Modified Mondays and Early Release Days Only - $15 per day

PART TIME SCHEDULE: Please select all days attending for a part time schedule
PART TIME SCHEDULE: Please select all days attending for a part time schedule
AM: 6 a.m. until - school opens ($7/day) PM: School dismissal - until 6:00 PM ($10 per day/$15 for Modified Mondays and Early Release)
Monday
Tuesday
Wednesday
Thursday
Friday
FULL TIME SCHEDULE - Monday-Friday, AM and PM

2. We will be ABSENT

2. We will be ABSENT

3. INACTIVE

3. INACTIVE

4. WITHDRAWING

4. WITHDRAWING

ADDITIONAL INFORMATION/COMMENTS


Select the button if you are currently on Quick Pay/EFT:

By submitting this form, I understand that I am amending my existing Fee Attendance Contract and I agree to continue to abide by the policies and guidelines as originally signed.

 

In order to receive a receipt of this submitted form, you MUST fill in your email below.

  1. To receive a copy of your submission, please fill out your email address below and submit.